Individual
KEANAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7420 FULLERTON RD STE 104, SPRINGFIELD, VA 22153-2836
(571) 463-7174
Mailing address
108 W GREENWAY BLVD, FALLS CHURCH, VA 22046-4005
(571) 463-7174
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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